Individual provider Active NPI

Young Taik Won, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1184659047
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A66733 Issued in CA
Practice address
3350 Wilshire Blvd
# 100
Los Angeles, CA 90010-1824
Phone
(213) 383-5522
Fax
(213) 383-1667
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A66733 CA Primary

Addresses

Primary practice location

3350 Wilshire Blvd
# 100
Los Angeles, CA 90010-1824

Mailing address

3350 Wilshire Blvd
# 100
Los Angeles, CA 90010-1824
Phone (213) 383-5522

Other identifiers 1

IdentifierTypeStateIssuer
A66733MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hsu Beverly Hills Surgery Center Inc. Past Accepting new patients
Sungmo Chiropractic Clinic Past Accepting new patients
Young T Won MD Inc Family Medicine PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1184659047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 WILSHIRE BLVD",
            "address_2": "# 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101824",
            "telephone_number": "213-383-5522",
            "fax_number": "213-383-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 WILSHIRE BLVD",
            "address_2": "# 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101824",
            "telephone_number": "213-383-5522",
            "fax_number": "213-383-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WON",
        "first_name": "YOUNG",
        "middle_name": "TAIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A66733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A66733",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.